Registration

Phantom Gymnastics On-Line Registration Form
Click on the class you would like to register for below. Classes will either indicate that they are full or let you know how many available spaces we have left. Please note that classes not meeting minimum requirements are subject to cancellation.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Health Insurance Carrier

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email*(Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email(Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

CREDIT CARD PAYMENTS: You have to enter your credit card and then go into the Payment tab to process the card. Entering it alone does not pay the fees. Registering for a class will result in automatic payment of registration (upon Registration) and Tuition on Tuition due date if you don't do it yourself via the portal. Payment by check must be in by Aug 20th. If you are wait listed and we have a spot open, we will contact you to confirm the spot and then charge the credit card.

Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #2
(Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

CREDIT CARD PAYMENTS: You have to enter your credit card and then go into the Payment tab to process the card. Entering it alone does not pay the fees. Registering for a class will result in automatic payment of registration (upon Registration) and Tuition on Tuition due date if you don't do it yourself via the portal. Payment by check must be in by Aug 20th. If you are wait listed and we have a spot open, we will contact you to confirm the spot and then charge the credit card.

Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #3
(Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

CREDIT CARD PAYMENTS: You have to enter your credit card and then go into the Payment tab to process the card. Entering it alone does not pay the fees. Registering for a class will result in automatic payment of registration (upon Registration) and Tuition on Tuition due date if you don't do it yourself via the portal. Payment by check must be in by Aug 20th. If you are wait listed and we have a spot open, we will contact you to confirm the spot and then charge the credit card.

Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #4
(Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

CREDIT CARD PAYMENTS: You have to enter your credit card and then go into the Payment tab to process the card. Entering it alone does not pay the fees. Registering for a class will result in automatic payment of registration (upon Registration) and Tuition on Tuition due date if you don't do it yourself via the portal. Payment by check must be in by Aug 20th. If you are wait listed and we have a spot open, we will contact you to confirm the spot and then charge the credit card.

Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #5
(Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*
(format=mm/dd/yyyy)

Additional Info

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

CREDIT CARD PAYMENTS: You have to enter your credit card and then go into the Payment tab to process the card. Entering it alone does not pay the fees. Registering for a class will result in automatic payment of registration (upon Registration) and Tuition on Tuition due date if you don't do it yourself via the portal. Payment by check must be in by Aug 20th. If you are wait listed and we have a spot open, we will contact you to confirm the spot and then charge the credit card.

Required Policies and Agreements

Automatic enrollment unless notified

You will be automatically enrolled into the next session for the school year (sessions 1-5) unless you provide us with an email 3 weeks prior to the start of the session. Credit cards will be charged on the session payment due date. If you don't want automatic enrollment please email us immediately and we will take you off auto enrollment. You will be dropped from the class if payment is not received 3 weeks prior to the start of the session. If you are signing up for a stars class, you are required to attend all three sessions and must agree to automatic enrollment. (Sept - June)

I've read the above and agree.

Assumption of Risk

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ("AGREEMENT")In consideration of participating in the Phantom Gymnastics, LLC program I represent that I and the participant(s) understands the nature of this activity and that the participant(s) is qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I and or participant(s) believe event conditions are unsafe, he/she will immediately discontinue participation in the activity. I and participant(s) fully understand that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases"ï¿½ named below; and that there may be other risks either not known to me and or participant(s) or not readily foreseeable at this time; and I and participant(s) fully accept and assume all such risks and responsibilities for loses, cost, and damages I and or participant(s) incur as a result of my participating the Activity.I and participant(s) hereby release, discharge, and covenant not to sue Phantom Gymnastics, LLC, its respective administrators, directors, agents, officers, volunteers, and employees, other participant(s)s, any sponsors, advertisers, owners and lessors of premises on which the Activity takes place, (each considered one the "RELEASES"ï¿½ herein) from all liability claims, demands, losses or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "Releasees"ï¿½ or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability and assumption of risk I, participant(s) , or anyone on my behalf, makes a claim against any of the Releasees, I and participant(s) will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage or cost, which any may incur as the result of such claim.

I've read the above and agree.

Release of Liability

I and participant(s) have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I and participant(s) have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extend allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.And I, as the minor's parent and/or legal guardian, understand the nature of the above referenced activities and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity.

I've read the above and agree.

Payment Policies

Payments for each session are paid in full prior to the start of the session. We take credit cards or checks. A $30 charge for any returned checks. Refund Policy: Registration fee is non-refundable; the tuition fee will be refunded at 90% prior to 1st class, 80% after 1st or 2nd class, no refund after 3rd class.

I've read the above and agree.

Make up Policy

PG will accommodate one make-ups per 8 week session subject to availability. We will NOT pro-rate tuition for classes missed.

I've read the above and agree.

Drop Policy

Registration fee is non-refundable; the tuition fee will be refunded at 90% prior to 1st class, 80% after 1st or 2nd class, no refund after 3rd class. Team programs run on an annual basis. A one month notice is required. You will be responsible for all fees incurred as well as the 30 day notice period.

I've read the above and agree.

Posting on Social Media

I grant Phantom Gymnastics, LLC, its representatives and employees the right to take photographs of my child during gymnastics class. I authorize Phantom Gymnastics, LLC to use and publish photographs whether in print or electronically. I agree that these photographs may be used with our without my name/child's name for any lawful purpose, including for example, publicity, illustration, advertising and/or social media.